TeleClinicOs

Marcus Klein

DOB 1997-11-02 · Age 28 · BCBS

Diagnoses

Bipolar I

Provider

Dr. Raj Pillai

Last seen

2026-04-01

Next appt

10:30 AM

Balance

$120 due

subjective

Marcus reports a hypomanic episode last Thursday — decreased sleep (4 hrs), elevated mood, increased spending. Denies full mania. Currently feeling "level." Medication compliance confirmed.

objective

Slightly elevated motor activity, expansive affect. Speech mildly pressured. No psychotic features. Insight intact — patient self-identified episode and called the clinic.

assessment

Bipolar I, most recent episode hypomanic. Lithium level subtherapeutic at last draw (0.6 mEq/L). Consider dose adjustment.

plan

Increase lithium to 900mg QHS. Recheck level in 1 week. Sleep hygiene counseling. Crisis plan reviewed and updated. F/U in 2 weeks.